Scott Klettke, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

60481 Issued in MN

Practice address

1990 Connecticut Ave S
Sartell, MN 56377-2554

Phone

(320) 257-7787

Fax

(320) 257-5596

NPI assigned

Jun 28, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Medical College of Wisconsin, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Diagnostic RadiologyGroup PAC ID 8820901564, 38 clinicians

Aitkin Community Hospital IncGroup PAC ID 4981514692, 96 clinicians

Central Imaging LLCGroup PAC ID 7012324213, 23 clinicians

Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

Astera HealthGroup PAC ID 2961395272, shared by 8 NPIs, 106 clinicians

Unity Family HealthcareGroup PAC ID 9830003516, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centracare - St. Cloud Hospital Hospital, Saint Cloud, MN, CCN 240036
• Cuyuna Regional Medical Center Hospital, Crosby, MN, CCN 241353
• Centracare - Paynesville Hospital Hospital, Paynesville, MN, CCN 241349
• Riverwood Healthcare Center Hospital, Aitkin, MN, CCN 241305
• Centracare Health System - Melrose Hospital Hospital, Melrose, MN, CCN 241330

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sklettke301584@direct.centracare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aitkin Community Hospital, Inc.

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Medicare reassignment Care Compare group NPD
• Regional Diagnostic Radiology

  • Diagnostic Radiology Physician
  • Sartell, MN
  • NPI 1417935321
  Medicare reassignment Care Compare group NPD
• Astera Health

  • Rural Health Clinic/Center
  • Wadena, MN
  • NPI 1134305162

  Diagnostic Radiology

  Medicare reassignment NPD
• Astera Health

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1477545333
  Medicare reassignment NPD
• Simplicity Health PA

  • Family Medicine Physician
  • St Cloud, MN
  • NPI 1780186486
  Medicare reassignment NPD
• Stevens Community Medical Center Inc

  • Critical Access Hospital
  • Morris, MN
  • NPI 1487678942
  Medicare reassignment NPD
• Stevens Community Medical Center Inc.

  • Clinic/Center
  • Starbuck, MN
  • NPI 1417105552
  Medicare reassignment NPD
• Unity Family Healthcare

  • Orthopaedic Surgery Physician
  • Little Falls, MN
  • NPI 1326234006
  Medicare reassignment NPD
• Unity Family Healthcare

  • Critical Access Hospital
  • Little Falls, MN
  • NPI 1780630939
  Medicare reassignment NPD
• Central Imaging LLC

  • Diagnostic Radiology Physician
  • Saint Cloud, MN
  • NPI 1457967234
  Care Compare group NPD
• Aitkin Community Hospital, Inc.

  • Community/Retail Pharmacy
  • Aitkin, MN
  • NPI 1497377287
  NPD
• Astera Health

  • Critical Access Hospital
  • Wadena, MN
  • NPI 1881725224
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aitkin Community Hospital, Inc.

  • Critical Access Hospital
  • Aitkin, MN
  • NPI 1942277835
  Care Compare affiliation
• Centracare Health System - Melrose

  • Critical Access Hospital
  • Melrose, MN
  • NPI 1720045073
  Care Compare affiliation
• Centracare Health System - Melrose

  • Rural Health Clinic/Center
  • Melrose, MN
  • NPI 1730407586

  Hospital

  Care Compare affiliation
• Centracare Health-Paynesville LLC

  • Critical Access Hospital
  • Paynesville, MN
  • NPI 1205269941
  Care Compare affiliation
• Cuyuna Regional Medical Center

  • Critical Access Hospital
  • Crosby, MN
  • NPI 1538143896
  Care Compare affiliation
• St Cloud Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Saint Cloud, MN
  • NPI 1811150618
  Care Compare affiliation
• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1043269798
  Care Compare affiliation
• St. Cloud Hospital

  • Mental Health Counselor
  • Sartell, MN
  • NPI 1083161814

  Hospital

  Care Compare affiliation
• St. Cloud Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Saint Cloud, MN
  • NPI 1467615294
  Care Compare affiliation
• St. Cloud Hospital

  • General Acute Care Hospital
  • Saint Cloud, MN
  • NPI 1841502929
  Care Compare affiliation
• St. Cloud Hospital

  • Psychiatric Hospital Unit
  • Saint Cloud, MN
  • NPI 1932419058
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1487965109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-257-7787",
            "fax_number": "320-257-5596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 CONNECTICUT AVE S",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563772554",
            "telephone_number": "320-257-7787",
            "fax_number": "320-257-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLETTKE",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "60481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan L King, MS
• Samantha Kate King, DNP, APRN, CNP
• Payton Kipka
• Shelby A Kirkwold, MS, LPCC
• Katie Lee Kissner, MS, LPCC
• Julie Kline, NP
• Kyle Knudsen, D.D.S.
• Eric P Kohn, PT
• Emily Korman, D.O.
• Krista Koshiol, MSW, LICSW

• Diagnostic Radiology Physician in Sartell, MN
• Providers in Sartell, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.